Provider Demographics
NPI:1316010820
Name:UZQUIANO, NELSON ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:NELSON
Middle Name:ENRIQUE
Last Name:UZQUIANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7737 SOUTHWEST FWY
Mailing Address - Street 2:SUITE #870
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1807
Mailing Address - Country:US
Mailing Address - Phone:713-772-4876
Mailing Address - Fax:713-772-5033
Practice Address - Street 1:7737 SOUTHWEST FWY
Practice Address - Street 2:SUITE #870
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074
Practice Address - Country:US
Practice Address - Phone:713-772-4876
Practice Address - Fax:713-772-5033
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE7526207VX0000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098180501Medicaid
TX10016611OtherAMERICAID
TX098180501Medicaid